2020 - March Edition
Alice Kuo, MD, PhD, MBA, FAAP   President, AAP - CA2    2018 - 2020 
President's Message
Happy Leap Year! It's only every four years that we can say that. It's been a busy month for our chapter, as usual. On February 18, Manhattan Beach became the second city in the nation to ban the sale of all tobacco products. This ordinance goes into effect January 2021, the same time as the one in Beverly Hills. Our chapter is committed to attending and testifying at City Council meetings until every city in our chapter has stricter tobacco control laws to protect our children from vaping.
In last month's newsletter, I mentioned that the World Health Organization had just declared the new coronavirus as a global health emergency. Since then, it has been renamed COVID-19, and according to the Johns Hopkins tracker (here) the total number of confirmed cases worldwide as of this morning is 87,446. Public health officials are scrambling to investigate possible cases and balance the need to let the public know what is going on while not raising undue alarm. For our chapter, the point of contact is the Los Angeles County Department of Public Health, which has a comprehensive website for health professionals and what to do if you encounter a suspected case
( http://publichealth.lacounty.gov/acd/nCorona2019.htm  ). Our criteria for evaluating suspected cases of COVID-19 in Los Angeles County differ from the CDC because of testing limitations, so please sign up for the Los Angeles Health Advisory Network (LAHAN) if you have not already done so. The latest criteria were just released yesterday, February 29. To follow the latest news on Covid-19, please go to these reliable news sources from LA County DPH (http://www.publichealth.lacounty.gov/media/Coronavirus/), California DPH (https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Immunization/ncov2019.aspx), CDC (https://www.cdc.gov/coronavirus/2019-ncov/summary.html) and WHO (https://www.who.int/emergencies/diseases/novel-coronavirus-2019), keeping in mind that LA County and California information may be more relevant for our chapter because of the disease burden in our state.
Although the news has been exploding with information about COVID-19, we continue to be in one of the worst influenza seasons in decades, matching the number of pediatric cases and deaths that we had two years ago, which was the deadliest flu season in 40 years. You can follow local influenza surveillance with LA County's FluWatch or CDC's FluView.  
Our ACEs Committee held a fabulous Town Hall at Magnolia Place Family Center last Tuesday that was attended by over 130 people. California Surgeon General, Nadine Burke Harris, gave the keynote address and spoke about the ACEs Aware initiative at the state. We had our very own chapter experts, Moira Szilagyi, Ariane Marie-Mitchell, Ruby Kalra and Adwoa Osei speak on various aspects of childhood trauma, and Marti Baum provided a perspective from the California Medical Association. I was struck by how engaged the audience was and how much there is still to learn, once data start becoming available. Thanks also to Denise Nunes and Christine Thang from our chapter's Early Career Physicians (ECP) for helping to plan the event. Based on the overwhelming success, the Committee is working on organizing future conferences on this extremely important topic for our chapter-stay tuned.
Last Thursday, Senator Richard Pan was at UCLA for the Paul Torrens Health Policy Forum speaking on Exploring Immunization Policy, along with Ron Ferdman, Chief of Clinical Immunology and Allergy at CHLA and Laura Dunning, former director of government affairs for LA County Department of Public Health. It was great to see so many chapter members attend to hear and support this important topic. The speakers gave a thoughtful discussion of the history behind immunization policy in California and the impact it has had on our state's immunization rates.
I want to give a plug for Alan Shapiro's visit to UCLA next Thursday and Friday, as part of the Immigrant Youth Task Force and our chapter's Immigrant Health Committee. As you may be aware, Dr. Shapiro was co-author on the 2017 AAP Policy Statement on the Detention of Immigrant Children and has been a vocal advocate for immigrant child health issues, having been featured on many national media venues for speaking out against the current conditions of children detained at our borders. Please come to hear him speak, and see below for more information about his talk at UCLA.
We are getting ready for the Annual Leadership Forum (ALF) at national AAP headquarters in just a couple of weeks. This is the meeting by which resolutions authored by members are voted on, and the top 10 are put forth to AAP leadership to work on for the upcoming year. The five categories of resolutions include Advocacy, Health Care Finance, Practice, Education and AAP Governance and Operations; and there are 82 resolutions total which have been proposed for this year. Our District (which is the entire state of California) is sponsoring 17 of these resolutions, of which our chapter is sponsoring the following four:
  • #35 - Connecting Families to Resources via Emergency Departments
  • #49 - Maternal Vitamin D Supplementation
  • #54 - Teaching Pediatricians How to Prescribe Nicotine Replacement Therapy for Children and Adolescents Addicted to E-Cigarette Use
  • #72 - Reducing the Number of Weekends Spent by Physician Volunteers in the AAP
Our chapter's Annual Symposium is later this month at UCLA, and it promises to be an amazing event. Mobeen Rathore, candidate for AAP national president, will be giving our annual S. Michael Marcy Lecture, and will cover outbreak investigations including COVID-19. Please join us during the noon hour for our annual membership business meeting, when we will hear from both national presidential candidates, our own candidates for chapter office, and from the CHLA resident advocacy initiative.
Also, we are planning an Early Career Physicians social networking event in conjunction with the Los Angeles County Medical Association (LACMA)-stay tuned for what promises to be a fun-filled evening of networking with other pediatricians and physicians in our area.
Be sure to visit the Job Board section if you are looking for new employment opportunities.  
Please check out the rest of our newsletter for information on our Town Hall meetings and other CME opportunities, ways to get Maintenance of Certification (MOC) points with Quality Improvement (QI) projects, and statewide advocacy priorities that the AAP is working on behalf of children.
Thanks for all that you do on behalf of children in our communities!
Alice Kuo, MD, PhD, MBA, FAAP
Chapter President
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The Los Angeles County Department of Public Health has a comprehensive website with tools and resources related to Coronavirus. Please visit their site for up-to-date information.


Clinical Update -   COVID-19 Webinar On-Demand
Free CME available 

Coping With Stress During Infectious Disease Outbreaks 
A Reference for Maintaining Mental Health & Well-Being  
The Department of Mental Health supports the well-being of our County family, friends and   colleagues. When you hear, read, or watch news about an outbreak of an infectious disease, you may feel anxious and show signs of stress-even when the outbreak affects people far from where you live and you are at low or no risk of getting sick. These signs of stress are normal and may be more likely in people with loved ones in parts of the world affected by the outbreak. During an infectious disease outbreak, care for your own physical and mental health and reach out in kindness to those affected by the situation. Read more ...
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Visit the LAHAN website.

2020 - Census  
From Ilan Shapiro Strygler, MD
Medical Director of Health Education & Wellness - AltaMed 

Dear Fellow Pediatricians,

Everyday we are fighting the good fight in our clinics. We can do so much in the clinic, but today we have the opportunity to help our community sharing important information about Social Determinants of Health, explaining to them the importance of being counted. The children between 0 to 5 years of age are usually under counted, and us as pediatrician have a special place to help them be represented. 

The Census happens every 10 years. With the data collected, federal funds and representation is divided according to the findings. If our patients are not counted medical, educational and social determinants of health programs will have less funds to continue helping.

We have created this (and other video) that give the example of touch points that can be done in your clinical setting:  https://youtu.be/sjEYPU4Lp68

Please go to  Census Materials to use any tools. Also in my clinic I have some copies of the material to give after each encounter. 

Feel free to contact me at ishapirostrygler@altamed.org or @Dr_Shaps

31st Annual AAP-CA2 Pediatric Symposium  
Coronavirus Updates... Pain Management and Opioids... Vaping/Nicotine Addiction Treatment... Fever Management, and more!  
Saturday, March 28, 2020 at UCLA
9 Speakers  -  3 Tracks
Register by Mail: Download the Registration Form    
View the Brochure   

Section on Infectious Diseases

AAP SOID 2020-21 Visiting Professor Program Call for Applications

The Visiting Professor Program provides support for a pediatric infectious diseases physician to visit an institution for one to two days. The Visiting Professor provides lectures and discusses clinical problems that may enhance the infectious diseases training of health care providers including but not limited to attending medical and surgical staff, faculty, fellows-in-training, residents, etc.
Click to learn more and submit an application for this program. Applications are due Friday, March 6, 2020.
Community Events
February 19, 2020 in Santa Barbara
Member-At-Large Ken Saul, MD, FAAP presented a lecture on Understanding the Importance of Immunoprophylaxis for Infants and Children at High Risk for Severe RSV Disease at a Town Hall in Santa Barbara, at Opal Restaurant. Forty one people attended this event, including physicians, nurses and nurse practitioners.
 Dr. Ken Saul shares the following takeaways:
  1. RSV is probably the most serious illness we see on a regular basis with far more admits and ICU admits than Influenza.
  2. Synagis is very effective in preventing RSV in high-risk babies.
  3. RSV morbidity has increased significantly since the AAP changed their recommendations for Synagis in 2014.
  4. The National Perinatal Association(NPA) recommends far more high-risk babies get Synagis than the AAP currently recommends.
  5. Pediatricians should consider using their own judgement on individual cases and consider NPA guidelines on their high-risk patients.
This event was generously sponsored by Sobi.
February 25, 2020 in Los Angeles
We would like to thank everyone who attended our first ACEs Town Hall on February 25 at Magnolia Place, in Los Angeles. We had over 130 attendees - the most for any Town Hall in many years!
Dr. Nadine Burke Harris, California Surgeon General and Keynote speaker spoke on the process of applying the science of toxic stress to transform outcomes in California. "Considering the direct relationship between ACEs and diseases such as asthma, depression, cardiovascular disease, smoking, heavy drinking and obesity, the annual cost of ACEs to California exceeds $112.5 Billion".

Click image on right to watch the video 
AAP-CA2 ACEs Town Hall - Nadine Burke Harris, MD 
Dr. Moira Szilagyi presented on Trauma and Resilience. "Once we have identified trauma, we also need to provide developmentally informed psycho education or guidance to the caregiver and child about trauma and its impact on the developing brain, so the caregiver can understand the child's emotions and behaviors in that context. "
Dr. Ariane Marie-Mitchell presented on Screening and Addressing ACEs in Health Care Practices. "One of the remarkable findings from the adult literature on ACEs is that there is a dose-response relationship between the number of ACEs and the risk for poor outcomes. And in general when adults reported 4 or more ACEs there was a statistically significant increased risk of a variety of poor outcomes".
Providing a perspective from the California Medical Association (CMA), Dr. Marti Baum shared that "Part of CMA's policy is to support efforts for cost-effective ACE screening tools without additional burden for physicians, as well as effective interventions, treatments and support services necessary for a positive screening practice in pediatric and adult populations".
Lastly, Dr. Ariane Marie-Mitchell, Dr. Ruby Kalra and Dr. Adwoa Osei spoke on Avoiding Burnout and Vicarious Trauma. "In addition to individual stress factors, health professionals are exposed to organizational stress factors (Changes in leadership, mandates without resources, staff turnover...). While many of our organizations are trauma inducing, learning about and applying trauma-informed (or resilience-informed) principles can shift our organizations to recognize the widespread impact of trauma and change practices and policies to address its effects."
Members of the ACEs Committee, from left: Marti Baum, MD - Adwoa Osei, MD - Moira Szilagyi, MD, PhD - Denise Nunez, MD - Adam Schickedanz, MD (Chair) - Ariane Marie-Mitchell, MD, MPH, PhD - Christine Thang, MD - Alisha Ranadive, MD - Ruby Kalra, MD
AAP-CA2 commends the work of our ACEs Committee for this putting together this fantastic program.  
This event was in part made possible by a generous donation from Dr. Trisha Roth. 
We would also like to thank Ronald E. Brown, President & CEO of Children's Bureau, and   Allison "Allie" Olson, Executive Director, and Sophia Wrench, Operations Associate of LIFT-Los Angeles for their tremendous support in providing the optimal space for our event.
New Chapter Members  
We would like to welcome and thank the following NEW members.  
  • Patricia Acharya, MD, FAAP (Monrovia)
  • Abraham Gallegos, MD, FAAP (Valley Glen)
  • Amy Gaultney, MD, FAAP (Los Angeles)
  • Elizabeth Kuilanoff, MD, FAAP  (Los Angeles)
  • Pamela Lee, MD, FAAP (Arcadia)
  • Lourdes Mosqueda, MD (South Pasadena)
  • Bradford Nguyen, MD (Los Altos)
  • My Nguyen, DO, FAAP (Corona)
  • Irene Odom, MD, FAAP (Rancho Cucamonga)
  • Pamela Roper, MD (Inglewood)
  • Kyle Roux, Medical Student (Los Angeles)
  • Margaret Swaine, MD, FAAP (Manhattan Beach)
  • Diana Villareal, MD, PhD, FAAP (Relands)
Thank you for your support! 
Job Board  
Coastal California Pediatric Opportunity
Join a patient-centered independent practice in Ventura, California. Primarily a PPO & HMO population (no MediCal). We are a well-run team with plenty of opportunity for growth. (805) 642-4704     www.VenturaPediatrician.com     Read More... 
Rolling Oaks Pediatrics  
is seeking a Pediatrician to join our busy California practice.
We are a popular PPO practice that has been serving the Conejo Valley for over 35 years. We are proud of the fact that we are an independent medical practice that offers the best in "continuity of care". Read more... 
Please visit aapca2.org/jobs for the latest employment opportunities in our Chapter 
Advocacy Highlights

February 26 in LA - Sale of Flavored Tobacco

The Los Angeles City Council met on Wednesday, February 26 for its regular Council Meeting at LA City Hall in the John Ferraro Council Chamber, room 340. As part of the LA Families Fighting Flavored Tobacco coalition, AAP-CA2 representatives presented statements during the public comment section of the meeting, urging Council members to include menthol, hookah, and adult-only establishments in the proposed ordinance to ban the sales of flavored tobacco in the City of Los Angeles. As currently recommended by the subcommittee, the ban would allow exemptions for all three - a weak ordinance that would perpetuate the disproportionate use of menthol in African American youth.
Following the council meeting, Dr. Denise Nunez and Dr. Jason Malenfant (Both Preventive Medicine Fellows at UCLA) and AAP-CA2 executive Director Tomas Torices delivered a packet to each of the 15 City Council Members and the Mayor's office. Each packet contained three letters of support urging the passing of a strong flavored tobacco ban ordinance, plus 20 signed Statements of Concern (We thank the following for your support: Denise Nunez, Jason Malenfant, Priyanka Fernandes, Tomas Torices, Suzanne Roberts, Pamela Roper, Dina Brent, Julia Reading, Huan Dong, Talin Arslanian, Adriana Martinez Olivera, Xavier Gaeta, Virginia Kee, Anna Le, Alan Chin, Sonal Desai, Bahareh Gordon, Amelia Walker, Lisa Gantz, and Crystal Deedas).
Dr. Jason Malenfant with Dr. Denise Nunez delivering an advocacy support packet to the office of LA City Mayor Eric Garcetti, emphasizing the importance of a ban on the sales of flavored tobacco without exemptions. 
Upcoming - Events
March 12, 2020at UCLA 
Immigrant Youth Task Force - Speaker Series  
Topic: Medical-Legal Parnterships and Academic Advocacy featuring Alan Shapiro, MD, FAAP, Medical Director and co-founder of Terra Firma   
Save the Date  
March 17, 2020 in Hesperia - Town Hall/Dinner Lecture
Akhil Sharma, MD
Join AAP-CA2 San Bernardino/High Desert Area Representative Akhil Sharma, MD for an evening of professional development and networking.
Update on Dysautonomia, POTS and syncope  
Speaker: Georgios Hartas, MD
Pediatric cardiologist on staff at CHLA and founder and medical director of Children's Heart Clinic in Glendale, CA.   
Tuesday, March 17, 2020
6 PM

Go Bangkok Thai cuisine
15800 Main St. # 200, Hesperia, CA 92345
Please Click Here to register, or email Chapter2@aap-ca.org  
March 28, 2020

31st Annual AAP-CA2 Pediatric Symposium  
Coronavirus Updates... Pain Management and Opioids... Vaping/Nicotine Addiction Treatment... Fever Management, and more!  
Saturday, March 28, 2020 at UCLA
9 Speakers  -  3 Tracks

5.25 CME   -   5.25 MOC Part 2  
Register by Mail: Download the Registration Form    
View the Brochure   

Mobeen H. Rathore, MD, FAAP
of Jacksonville, Florida. 
Moira A. Szilagyi, MD, PhD, FAAP, of Marina Del Rey, California.
Both candidates for AAP president-elect, will be guest faculty at the 31st Annual Advances in Pediatrics Symposium at UCLA on March 28. 
Also, as candidates for AAP President-Elect, they will both speak during our Annual Business Luncheon.
Mobeen Rathore, MD, FAAP

Dr. Rathore will speak on infectious diseases.
Moira A. Szilagyi, MD, PhD, FAAP

Dr. Szilagyi will speak on
Childhood Trauma and Resilience

Pediatric Dentistry  
Medical Consultations
Catherine Pham, DDS, MPH
Catherine Pham, DDS, MPH
How you would prefer to receive medical consultations from your dental colleagues? The California Society of Pediatric Dentistry appreciates any feedback and looks forward to maintaining long-lasting relationships.  
Please provide feedback by completing THIS FORM
Get Involved - Chapter Committees  
Chapter committees are great opportunities to get involved in areas that interest you the most. Furthermore, if you are a Fellow member (FAAP), local involvement could position you for leadership opportunities at National AAP. To learn more about our various Committees and Sections, and to sign up for any of the Committees/Sections listed below, please visit aapca2.org/committees 
Adverse Childhood Experiences (ACEs) Committee
Anti-Smoking/Vaping Committee   Immigrant Health Committee
 Immunizations Committee  Membership Committee  Physician Wellness Committee
 Practice Management Committee  Section on Early Career Physicians  Section on Pediatric Trainees
QI Opportunities - CME and MOC Part 4
More LA Smiles CME and MOC Part 4 Opportunities
In a state-funded effort to improve the oral health of Los Angeles County children on Medi-Cal, UCLA's More LA Smiles Dental Transformation Initiative invites medical providers and their staff to participate in clinical trainings and improvement opportunities.  
Oral Health Integration in Primary Care
Primary Care Practice Quality Improvement is a program led by UCLA More LA Smiles focused on integrating oral health preventative services in well-child visits.  Participating providers receive up to 30-50 CME and 20-25 MOC Part IV credits at no cost upon meaningful participation in the program.  Participation includes the implementation of oral health assessments and fluoride varnish applications during primary care with the help of a quality improvement specialist.  
Email QI@morelasmiles.org to learn more!    
Overview Training: This 1-hour training explains the Medi-Cal 2020 Dental Transformation Initiative and provides contemporary understanding of dental caries and systems-based approaches to improving children's oral health. Participating providers may earn 1 CME credit online by visiting https://morelasmiles.org/medicaloverview or can request an in-person training for their office by emailing training@morelasmiles.org.

Advanced Training: The 3-hour training includes in-depth instruction on performing caries risk assessments, applying fluoride varnish, utilizing self-management goals and contemporary approaches for prevention and management of dental caries as a chronic infectious disease. Participating providers earn 3 CME credits. We welcome the opportunity to provide an in-person training for your organization; please email training@morelasmiles.org to coordinate.
Join today!
Stay Connected!  @moreLAsmiles    
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Previous Issues  - Peds@CA2 e-News 
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Please Donate
AAP-CA2 is a 501(c)(3) non-profit organization. Please consider a tax-deductible charitable donation to one of our many programs
  • The Medicine-Biological Sciences Scholarship Program, which awards scholarships to exceptional high school students each year.
  • The Committee on Service, Education, and Mentoring, which awards scholarships to pediatric residents for outstanding research projects. 
  • The S. Michael Marcy Memorial Lecture, which helps sponsor a portion of our annual Advances in Pediatrics Conference in his honor.

Please contact Tomás Torices, MD (Chapter executive director) for all Chapter 2 related matters.
Cell. (818) 422-9877
Mailing Address: 
PO Box 94127  
Pasadena, CA 91109

Please visit our website at  http://aapca2.org/